艾汤下。停一二时。小腹内微动者胎也。如不动。再一服。又不动。则非胎矣。
凡有胎者。贵冲任脉旺。元气充足。则饮食如常。身体壮健。色泽不衰。而无病患相侵。血气充实。可保十月满足。
分娩无虞。母子坚牢。何疾之有。若血气不充。冲任脉虚。则经水愆期。岂能受孕。纵得孕而胞门子户虚寒。亦受胎不
实。
或冲任脉虚而协热。轻则胎动不安。重则三五七月即堕。更加外感六淫。内伤七情。或饮食伤脾胃。或淫欲损真元。皆
致疾之由也。故凡有胎者。以安为要。佐以养血顺气。盖血有余。则子得血而易长。故四物汤为要剂。若气得顺。则中
气舒转。饮食加飧。母气旺子气亦旺。故须砂仁、香附以顺气。然血虚者。四物加香、砂。气虚者。即以四君加香、砂。
古人治胎前。每将人参、砂仁同用。取其一补一顺。补则气旺而无堕胎之患。顺则气血通和而无难产之忧。良要法也。
今举胎前之症而缕述之。妊娠三月以来。心虚烦闷。名曰恶阻。宜人参橘皮汤、人参木瓜汤。亦有体困肢懒。或眩晕嗜
卧。恶心呕吐。浆粥不入。甚至恶寒发热者。宜丁术汤。或体肥恶阻。痰必盛。宜二陈汤加减。体瘦恶阻。火必多。宜
二陈汤加山栀、连翘。总之。恶阻一症。古人以形病而脉不病别之。余则谓恶阻者。无不喜食酸物。不若以嗜酸别之为
更明切。亦有平日气血调和。脏腑荣畅。不患恶阻。虽患亦甚轻甚暂者。又不可不知。妊娠三四月间。忽然失音不语。
名曰
子喑。此非药可愈。待产子自愈。以胎气上侵肺系及喉。虽喑而不为病也。妊娠四五月来。本君相二火养胎。平素有火。
而胎热气逆。胎上凑心不安。胸膈胀满。名曰子悬。宜子悬汤、紫苏饮。妊娠五六月。乃少阴君火以养精。六七月。乃
少阳相火以养气。平素有火之人。内外之火相感。而作烦躁闷乱不安者。名曰子烦。宜安神丸。妊娠五六月以来。浮肿
如水气者。名曰子肿。俗呼琉璃胎。宜防己汤。若面目肿如水。气喘而短虚也。宜白术散。亦有胎前浮肿。专由脾虚者。
宜芍艾汤。妊娠五六月间。腹大异常。胸膈胀满。名曰胎水。此胞中蓄水也。若不早治。生子手足必然软短。形体生理残障。
或水下即死。宜鲤鱼汤。妊娠七八月。忽然卒倒僵仆。不省人事。顷刻即醒。名曰儿晕。宜葛根汤。亦有因气血两虚而
卒晕者。宜八珍汤。妊娠七八月以来。胎气渐粗。两足浮肿。头目不肿者。亦名子肿。与五六月间之肿各异。又名皱脚。
宜健脾补气。宜平胃散。若两足肿。足趾间出黄水。乃水气肿满之故。宜天仙藤散。妊娠八九月。小便不通。盖因气弱
不能举胎。胎壅膀胱。水不能出。名曰转胞。忌服利水之品。宜人参升麻汤。妊娠将临月。两目失明。不见灯火。头痛
眩晕。腮颔肿。不能转侧。此肝经热毒上攻。由过食炙 火酒辛辣等物。名曰胎热。宜消风散、天门冬饮。妊娠有三四
月而堕者。有六七月而堕者。有屡孕屡堕者。由于气血不充。名曰滑胎。宜固胎丸。以上皆按月可稽者也。其有妊娠经
血不时而来者。名曰漏胎。当察其脉之何虚以治之。或气虚。宜四君子汤加黄芩、阿胶。或血虚。宜四物汤加芩、连、
白术、益母草。皆不可混。妊娠因酒色过度。内伤胞门。或饮食积热。以至水道秘塞。小便淋沥而痛者。名曰子淋。宜
安荣散。亦有兼内热而淋者。宜五苓散。妊娠疟疾。名曰子疟。或热多寒少。宜清脾饮去半夏。或寒多热少。宜人参养
胃汤去半夏。或元气虚弱。宜胜金丹。皆当分别。妊娠心痛。非心痛也。乃胎气上升所致。亦名子悬。与四五月之子悬
不同。须安胎养血。佐以顺气。而又有客热犯胃而痛者。宜二陈汤去半夏加二术、黄芩。又有客寒犯胃而痛者。宜火龙
散。妊娠咳嗽。名曰子嗽。此胎气为病。产后自愈。不必服药。然或因外感风寒。宜桔梗散。或因火盛乘金。宜兜铃散、
百合散。是又不可不治者。妊娠中风。头项强直。筋挛语涩。痰涎壅甚。昏不知人。名曰子痫。宜羚羊角散。妊娠不守
禁忌。纵恣口腹。过食生冷瓜果。及当风取凉。以致胎冷不安。胸腹胀痛。肠中虚鸣。四肢拘急。便泄欲绝。名曰胎寒。
宜安胎和气饮。妊娠初时。即常患腹痛者。此由血热之故。名曰痛胎。一时不易愈。只宜时服凉血药稍解之。宜栀芩汤。
以上皆妊娠病之有名可举者也。此外如妊娠伤寒。其六经治例。与常人同。但专以清热安胎为主。或汗或下。俱当随其
五脏表里所见脉症主治。切勿犯胎气。故万密斋治妊娠伤寒。在表发汗。用香苏散。和解半表里。用黄龙汤。在里宜下。
用三黄解毒汤。自谓家传之秘。活人甚多。良有然也。如或妊妇禀受素弱。偏患伤寒。药中必佐以四物。庶可无误。半
夏犯胎。最易取用。以古方用之者多。须留心检点。宜羌活汤及万氏所用三方。病甚。再须护胎。宜护胎法。妊娠痢疾。
若初起腹痛。里急后重。元气尚实者。攻之。宜香连化滞汤。痢久元虚。日夜无度者。补之。宜胃风汤。热下迫痛。里
急者解之。宜黄芩芍药汤。其余赤白脓血。一切等症。皆临时酌治。总之胎前杂症虽多。惟伤寒痢疾。最为恶候。不可
不虑。妊娠有泄泻不渴。小便清白者。宜三白散加砂仁、浓朴、苍术、甘草。有泄泻肠垢。烦渴内热。小便赤涩者。宜
黄芩汤加白术、通草、茯苓。腹痛加砂仁、黄连。有泄泻喜饮呕逆。水谷不化。为协热下利者。宜黄连阿胶丸。有泄泻
或青或白。水谷不化。腹痛肠鸣。为洞泄者。宜五苓散。次用黄连阿胶丸。有泄泻黄水有沫。肠鸣腹痛。脉沉紧数者。
宜戊己丸。其余如伤脾伤胃风冷暑湿等伤而致泄泻者。皆随症调治。妊娠二便不通。脏腑积热也。大肠热则大便不通。
宜四物汤加枳壳、黄芩。亦或由大肠气滞者。宜紫苏饮加杏仁、黄芩。小肠热则小便不通。宜冬葵子汤。大小肠俱热则
二便不通。他如胃虚。宜六君子汤加紫苏、杏仁。气血虚。宜朝用八珍汤加桃仁。杏仁。晚用加味逍遥散加车前子。心
肝
虚热。宜加味逍遥散加车前子。肝脾积热。宜龙胆泻肝汤。郁怒伤肝。宜加味归脾汤、加味逍遥散。皆能致二便之不通。
妊娠有怔忡脉乱。惊悸不安。夜卧不宁。恍惚气触者。宜大圣汤。有血少神虚而心不宁者。宜益荣汤。有虚而心不定者。
宜定志丸。有火盛者。宜安神丸。妊娠冒暑。或烦渴闷乱而不安。宜香茹饮。烦热甚而多饮。宜香茹饮加麦冬、黄芩、
花粉、五味、山栀。妊娠伤食。胸满胁痛。右关紧甚。宜于消导。如伤冷物而胸膈劣闷欲吐者。脉必迟。宜丁香散。如
呕。加姜。妊娠螈 。肝风心火相炽也。宜钩藤汤。妊娠霍乱。或邪在上胃脘。则当心痛而吐多。邪在下胃脘。则当脐
痛而利多。邪在中脘。则腹中痛而吐利俱多。吐多伤气。利多伤血。邪击胎元。母命易殒。气血伤而无以养胎。子命易
倾。此急症也。当急治。宜香苏散。如转筋加木瓜。胎动加白术。夏加黄芩。冬加参、术。妊娠遗尿。或脬中蕴热。宜
加味逍遥散。或肝肾气虚。宜六味丸。或脾肺气虚。宜补中益气汤加益智仁，或肝火血虚。宜六味丸合加味逍遥散。其
因
不一。妊娠尿血。乃劳伤经络。热邪乘之。侵及于血。血得热则流渗入于脬故也。宜加味逍遥散、六味丸、续断汤。妊
娠脏躁。即仲景云。妇人脏躁。悲伤欲哭。象如神灵。数欠伸是也。推其故。或由肺有风邪。或由寒水攻心。故无故而
但欲自悲耳。宜甘麦大枣汤。妊娠腹中儿哭。盖脐带上疙瘩。儿含口中。因登高举臂。脱出儿口。以故作有哭声。只令
妊妇曲腰就地如拾物。则疙瘩仍入儿口。哭自止。或再服药。宜补遗方。其妊妇有腹内钟鸣声者。亦同法。妊娠胎不长。
必其宿有风冷。故致胎痿。或将理失宜。脏腑衰损。气血虚弱。故不能长大。或伤动胎气。又兼冲任素亏。无血养胎。
俱当益气养血。或兼治疾 。宜长胎白术丸、人参丸。或脾气不足。面黄晡热而胎不长。宜八珍汤倍参、术、茯苓。或
肝脾郁怒。胁痛呕吐。寒热往来。而胎不长。宜六君子汤加柴胡、山栀、枳壳、紫苏、桔梗。皆当究悉其因。妊娠心痛。
风邪痰饮交结。伤心支络。故乍安乍作而痛。宜火龙散。亦或肝脾气滞。胸胁胀。吞酸不食而痛。宜二陈汤加山楂、山
栀、青皮、木香。妊娠腹痛。须辨寒热虚实。寒者脉迟。宜理中汤。热者脉数。宜芩芍汤。虚者脉无力。乃血少不能养
胎。宜四君子汤加归、芍。实者脉有力。宜香壳丸。便秘者脉兼实。宜香壳丸加芩、芍、浓朴。又有腹中不时作痛。或
小腹重坠者。名曰胎痛。宜地黄当归汤。其心腹俱痛者。或有冷积。或新触风寒。邪正相击而并于气。随气上下。上冲
心则心痛。下攻腹则腹痛。上下混攻。则心腹俱痛。若不时差。其痛冲击胎络。必致动胎。可不惧哉。宜当归芍药汤。
有时腹但胀痛。抑犹轻已。宜桑皮汤加姜。至如娠将届期。腹胁胀满。心胸刺痛。宜壮气四物汤。娠已月倍。临期三日
前。心腹胁肋疼痛。宜安胎四物饮。皆不可不药。妊娠小腹痛。大概由胞络虚。风寒相搏之故。宜紫苏饮。虽或致病多
端。而均以川芎为末酒调服。或芎、归等分煎服。无不解。不然痛甚。亦能动胎也。妊娠腰痛。最为紧要。盖以胞胎系
于腰。故腰疼酸急。胞欲脱肾。必将产也。即不然。或因劳伤损动其经。宜短剧苎根汤。或因冷气袭腹。痛引于腰背。
宜五加皮散。或因挫闪气滞。宜通气散。或因肾元虚损。宜青娥丸。或因怒动肝火，宜小柴胡汤加白术、枳壳、山栀。
或因肝脾气郁。宜归脾汤加柴胡、枳壳。或膀胱风邪乘袭。宜拔萃羌活汤。或因血热血滞。宜四物汤加乳、没、木香、
黄柏、火麻仁。虽由来不同。若其痛不止。多动胎气。大抵治法。总以固胎为主。通用千金保孕方。妊娠胎动不安。其
由于本然者。冲任经虚。受胎不实也。宜常服安胎散。其余则皆外之所致。如素有内热。以致内火旺盛。故不安也。宜
安胎丸。如多劳乏。气血虚不能荣养。故不安也。宜四物汤加通气药。如饮酒房劳过度。或损动。故不安也。宜安胎散。
如误触击。或因跌扑。腰腹疼痛。胎上抢心。去血腹痛。故不安也。宜阿胶 艾丸。如从高坠堕。或为重物所压。触动
胎气。腹痛下血。胃虚呕逆。此等之症。皆能伤胎。故不安也。宜佛手散、从高坠下方。如忽有喜怒。气宇不舒。伤于
心肝。触动血脉。故不安也。宜钩藤汤。如平日膏粱奉养太过。气不运动。或身肥累坠。故不安也。宜瘦胎散。妊娠误
服
毒药毒物。故不安也。宜黑豆汤。或白扁豆子去皮研末米饮下。如因母病。薰灼其胎。故不安也。宜十圣散。如遇内外
热病。火热侵胎。故不安也。宜伏龙散、护胎方。如舌青黑。腹冷指甲青。胀闷甚。口中糜臭。此胎死腹中。不但不安
矣。宜平胃散加朴硝。酒下。或鹿角胶酒化服。使胎化为水。以上皆胎前病之时有。不可不加意者。总之妇人月事。一
月不通。六脉平和。或见吞酸恶食。或见微寒微热。懒于举动。胎也。若六脉中见有病脉。便非。若知已有胎。而恶心
呕吐。不思食。惟宜养血安胎。理气健脾。此为要着。宜受娠和中汤。倘或胎不安。腰腹痛。食不甘。必当安之。宜安
胎饮。盖胎之所以不安者。除一切外因。总由气血虚。不能荣养胎元所致。故必用参补气。当归补血。亦或因内多邪热。
气血沸腾。胎不宁养。故用黄芩以凉之。又胎系于脾。脾虚蒂无所附。以至堕落。故用白术、炙草以培之。至于陈皮、
香附、苏梗以理气。砂仁开胃理中。杜仲治腰痛。白芍和腹痛。内热口渴则去砂仁而加麦冬。见红则加生地、地榆。皆
妊娠概治之法也。间有所谓鬼胎者。营卫虚损七情相干。妖魑精鬼。得入于脏。竟似怀胎。其状却颟顸如抱一瓮。或寒
热面黄。或少食体倦。大约患此症者。肝脾必致两伤。治法总以补元气为主。而佐以行散之药。如雄黄丸、芫花散之类。
至于保生易产之法。尤不可不讲。盖以生不可催。只可调和气血。产乃无虞。八九月后。盒饭服保产达生散。或至九月。
服便产方一剂。临产再服一剂。自无产难之忧。吾邑秦氏。世传妊娠逐月养胎方。尤为大妙。诚属百用百效。凡服此者。
从未见有产厄。真宝方也。
脉法 仲景曰。寸口脉弦而大。弦则为减。大则为芤。减则为寒。芤则为虚。寒虚相搏。此名为革。妇人则半
产漏下。旋复花汤主之。王叔和曰。尺中不绝。胎脉方真。太阴洪而女孕。太阳大而男娠。或遇俱洪而常双产。此法推
之。其验如神。月数断之。各根据其部。假令中冲若动。此乃将及九旬。孙思邈曰。左尺浮大者男。右尺沉细者女。若来
而断绝者。月水不利。陈自明曰。寸微关滑尺带数。流利往来并雀啄。小儿之脉已见形。数月怀胎犹未觉。左疾为男右
为女。流利相通速来去。两手关脉大相应。胎已成形非漫语。左脉带纵两个男。右手带横一双女。左手脉逆生三男。右
Take with mugwort decoction. If there is a slight fetal movement in the lower abdomen after one or two hours, it indicates pregnancy. If there is no movement, take another dose. If there is still no movement, then it is not pregnancy.
For those who are pregnant, it is crucial that the Chong (Penetrating) and Ren (Conception) vessels are vigorous and the Yuan Qi (Original Qi) is sufficient. This ensures normal appetite, robust health, lustrous complexion, freedom from disease invasion, and充盈 blood and qi, allowing for a full ten-month gestation without danger during delivery, ensuring the safety and strength of both mother and child. How could illness arise? However, if blood and qi are insufficient and the Chong and Ren vessels are deficient, menstruation will be delayed, making conception impossible. Even if conception occurs, due to the deficiency and cold of the uterine gate and womb (uterus), the fetus cannot be securely retained.
If the Chong and Ren vessels are deficient and accompanied by heat, it may lead to restless fetus (Tai Dong Bu An) in mild cases, or miscarriage in the third, fifth, or seventh month in severe cases. Additionally, external contraction of the Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire), internal injury from the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright), dietary damage to the Spleen and Stomach, or excessive sexual activity damaging the True Yuan (True Origin), are all causes of disease. Therefore, for pregnant women, stabilizing the fetus is paramount, assisted by nourishing blood and regulating qi. Since excess blood facilitates fetal growth, Si Wu Tang (Four Substances Decoction) is a key formula. If qi flows smoothly, the Middle Qi (Central Qi) circulates freely, appetite increases, maternal qi strengthens, and consequently fetal qi also strengthens; thus, Amomum Fruit (Sharen) and Cyperus Rhizome (Xiangfu) are needed to regulate qi. For blood deficiency, add Xiangfu and Sharen to Si Wu Tang; for qi deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction) with Xiangfu and Sharen. Ancients often used Ginseng Root (Renshen) and Amomum Fruit together in treating prenatal conditions, taking advantage of one tonifying and one regulating. Tonification prevents qi deficiency and miscarriage risk; regulation ensures harmonious blood and qi flow and prevents difficult labor. This is an excellent method.
Now, let us detail the symptoms of prenatal conditions: From the third month of pregnancy onwards, mental emptiness and restlessness are called E Zu (Morning Sickness). Ren Shen Ju Pi Tang (Ginseng Peel Decoction) or Ren Shen Mu Gua Tang (Ginseng Papaya Decoction) are suitable. Some may experience body fatigue, limb laziness, dizziness, lethargy, nausea, vomiting, inability to eat even gruel, or even aversion to cold and fever; Ding Zhu Tang (Turdan and Atractylodes Decoction) is appropriate. For obese individuals with E Zu, phlegm-dampness is likely abundant; Er Chen Tang (Two-Cured Decoction) modified is suitable. For thin individuals with E Zu, fire-heat is likely excessive; Er Chen Tang added with Gardenia Fruit (Shanzhi) and Forsythia Fruit (Lianqiao) is suitable. In summary, regarding E Zu, ancients distinguished it by observing physical symptoms while the pulse remained normal. I suggest that since patients invariably crave sour foods, distinguishing by this craving is more precise. There are also cases where blood and qi are harmonious and organs are flourishing, resulting in no E Zu or very mild/transient symptoms, which must also be known.
Between the third and fourth months, sudden loss of voice is called Zi Yin (Prenatal Aphonia). This is not cured by medicine but resolves spontaneously after delivery. It is caused by fetal qi invading the lung system and throat; although aphonic, it is not considered a disease. From the fourth to fifth months, the Jun Fire (Ministerial Fire) and Xiang Fire (Ministerial Fire) nourish the fetus. Those with pre-existing internal heat may experience fetal heat rising against the heart, causing restlessness and chest/diaphragm distension, called Zi Xuan (Prenatal Suspension). Zi Xuan Tang or Zi Su Yin (Perilla Decoction) are suitable.
In the fifth and sixth months, Shaoyin Jun Fire nourishes essence; in the seventh and eighth months, Shaoyang Xiang Fire nourishes qi. Individuals with pre-existing heat may feel irritated and restless due to internal and external fire interacting; this is called Zi Fan (Prenatal Restlessness). An Shen Wan (Calming Spirit Pill) is suitable. From the fifth to sixth months, edema resembling water retention is called Zi Zhong (Prenatal Edema), colloquially known as Liuli Tai (Glazed Fetus). Fang Ji Tang (Stephania Decoction) is suitable. If facial and eye swelling resembles water, accompanied by shortness of breath and weakness, Bai Zhu San (Atractylodes Macrocephala Powder) is suitable. Some prenatal edema is solely due to Spleen deficiency; Shao Ai Tang (Peony and Mugwort Decoction) is suitable.
Between the fifth and sixth months, abnormal abdominal enlargement with chest distension is called Tai Shui (Fetal Water), indicating fluid accumulation in the uterus. If not treated early, the newborn may have soft/short limbs or physical disabilities, or die upon amniotic fluid release; Li Yu Tang (Carp Decoction) is suitable.
In the seventh and eighth months, sudden collapse, rigidity, unconsciousness, followed by quick recovery, is called Er Yun (Fetal Syncope). Ge Gen Tang (Kudzu Decoction) is suitable. For syncope due to dual qi and blood deficiency, Ba Zhen Tang (Eight Treasures Decoction) is suitable.
From the seventh to eighth months, if only the feet swell while the head and eyes do not, it is also called Zi Zhong, differing from earlier edema, and is named Zhou Jiao (Wrinkled Feet). Strengthening the Spleen and tonifying qi with Ping Wei San (Peaceful Stomach Powder) is suitable. If foot swelling includes yellow fluid oozing from toes, it is due to water-dampness swelling; Tian Xian Teng San (Akebia Vine Powder) is suitable.
In the eighth and ninth months, urinary retention is called Zhuan Bao (Turning Bladder). This is due to weak qi failing to support the fetus, causing the fetus to obstruct the bladder and preventing urine outflow. Diuretics are contraindicated; Ren Shen Sheng Ma Tang (Ginseng and Cimicifuga Decoction) is suitable.
Near term, blindness, inability to see light, headache, dizziness, and swelling of cheeks/jaw, with inability to turn the head, is caused by Liver channel heat-toxin attacking upward, often from overconsumption of roasted/spicy/alcoholic foods. This is called Tai Re (Fetal Heat). Xiao Feng San (Wind-Expelling Powder) or Tian Men Dong Yin (Asparagus Decoction) are suitable.
Miscarriages occurring at three/four months, six/seven months, or recurrent miscarriages due to insufficient qi and blood are called Hua Tai (Slippery Fetus/Habitual Abortion). Gu Tai Wan (Stabilize Fetus Pill) is suitable. These are conditions identifiable by month.
Irregular vaginal bleeding during pregnancy is called Lou Tai (Leaking Fetus). Treatment depends on the specific deficiency indicated by the pulse. For qi deficiency, Si Jun Zi Tang added with Scutellaria Root (Huangqin) and Donkey-Hide Gelatin (Ejiao) is suitable. For blood deficiency, Si Wu Tang added with Huangqin, Coptis Rhizome (Lian), Atractylodes Rhizome (Bai Zhu), and Motherwort Herb (Yimucao) is suitable. Do not confuse these.
Urinary dribbling and pain during pregnancy, caused by excessive alcohol/sex damaging the uterus or dietary heat blocking the water passages, is called Zi Lin (Prenatal Strangury). An Rong San (Nourish Prosperity Powder) is suitable. For cases with internal heat, Wu Ling San (Five Ingredient Powder with Poria) is suitable.
Malaria during pregnancy is called Zi Nue (Prenatal Malaria). For more heat than chills, Qing Pi Yin (Clear Spleen Decoction) minus Pinellia Tuber (Banxia) is suitable. For more chills than heat, Ren Shen Yang Wei Tang (Ginseng Stomach-Nourishing Decoction) minus Banxia is suitable. For weak Yuan Qi, Sheng Jin Dan (Win Gold Pill) is suitable. Differentiate accordingly.
Heart pain during pregnancy is not true heart pain but caused by ascending fetal qi, also called Zi Xuan, distinct from the Zi Xuan in months four/five. Stabilize the fetus, nourish blood, and regulate qi. For stomach pain due to exogenous heat, Er Chen Tang minus Banxia added with Cang Zhu, Bai Zhu, and Huangqin is suitable. For stomach pain due to exogenous cold, Huo Long San (Fire Dragon Powder) is suitable.
Cough during pregnancy is called Zi Sou (Prenatal Cough). Caused by fetal qi, it resolves postpartum and usually requires no medicine. However, for cough due to wind-cold, Jie Geng San (Platycodon Powder) is suitable. For cough due to excessive fire affecting the Lung, Dou Ling San (Loquat Leaf Powder) or Bai He San (Lily Bulb Powder) is suitable. These require treatment.
Stroke-like symptoms during pregnancy, including stiff neck/head, muscle spasms, slurred speech, profuse phlegm, and coma, are called Zi Xian (Prenatal Eclampsia). Ling Yang Jiao San (Antelope Horn Powder) is suitable.
Violating taboos, consuming raw/cold foods, or exposing oneself to wind/coolness can cause cold fetus, leading to chest/abdominal pain, borborygmus, limb stiffness, and severe diarrhea. This is called Tai Han (Fetal Cold). An Tai He Qi Yin (Stabilize Fetus Harmonize Qi Decoction) is suitable.
Abdominal pain in early pregnancy due to blood heat is called Tong Tai (Painful Fetus). It is hard to cure quickly; cool-blood herbs should be taken occasionally. Zhi Qin Tang (Gardenia and Scutellaria Decoction) is suitable.
These are named prenatal diseases. Regarding prenatal Shang Han (Cold Damage), the Six Meridian treatments are the same as for non-pregnant individuals, but the focus must be on clearing heat and stabilizing the fetus. Sweating or purging must follow the pulse/symptoms of the five zang organs and exterior/interior patterns, avoiding harm to the fetus. Wan Mizhai treated prenatal Shang Han by using Xiang Su San (Agastache and Perilla Decoction) for exterior sweating, Huang Long Tang (Yellow Dragon Decoction) for half-exterior/half-interior resolution, and San Huang Jie Du Tang (Three Yellow Detoxification Decoction) for interior purging. He claimed this family secret saved many lives. For constitutionally weak pregnant women contracting Shang Han, add Si Wu Tang to prescriptions to avoid errors. Banxia (Pinellia) is often mistakenly used despite being contraindicated; check ancient formulas carefully. Qiang Huo Tang (Notopterygium Decoction) and Wan’s three formulas are suitable. For severe illness, add fetal protection methods.
For dysentery in pregnancy: If early stage with abdominal pain, tenesmus, and strong constitution, attack with Xiang Lian Hua Zhi Tang (Cinnamon and Coptis Stasis-Resolving Decoction). For chronic dysentery with deficiency, tonify with Wei Feng Tang (Wind-Stomach Decoction). For heat-straining pain, resolve with Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction). Other bloody/purulent cases require case-by-case adjustment. Shang Han and dysentery are the most dangerous prenatal conditions.
For diarrhea without thirst and clear urine, use San Bai San (Three Whites Powder) added with Sharen, Houpo, Cang Zhu, and Gan Cao. For diarrhea with intestinal mucus, thirst, internal heat, and dark/scanty urine, use Huang Qin Tang (Scutellaria Decoction) added with Bai Zhu, Tong Cao, and Fu Ling. Add Sharen and Huang Lian for abdominal pain. For diarrhea with thirst, vomiting, and undigested food (協熱下利 -協热 diarrhea), use Huang Lian E Jiao Wan (Coptis and Donkey-Hide Gelatin Pill). For green/white watery diarrhea with borborygmus (Dong Xie - Hole Diarrhea), use Wu Ling San, followed by Huang Lian E Jiao Wan. For yellow frothy diarrhea with deep/tight/rapid pulse, use Wu Ji Wan (Wu-Ji Pill). Other diarrheas due to Spleen/Stomach injury from wind/cold/summerheat/dampness require symptomatic treatment.
Obstipation (both constipation and urinary retention) is due to organ heat. Large Intestine heat causes constipation: Si Wu Tang added with Zhi Ke and Huang Qin. Or Large Intestine qi stagnation: Zi Su Yin added with Xing Ren and Huang Qin. Small Intestine heat causes urinary retention: Dong Kui Zi Tang (Malva Seed Decoction). Both intestines hot: treat both. Stomach deficiency: Liu Jun Zi Tang added with Zi Su and Xing Ren. Qi/Blood deficiency: Morning Ba Zhen Tang added with Tao Ren and Xing Ren; Evening Jia Wei Xiao Yao San added with Che Qian Zi. Heart/Liver empty heat: Jia Wei Xiao Yao San added with Che Qian Zi. Liver/Spleen accumulated heat: Long Dan Xie Gan Tang (Gentian Drain Liver Decoction). Anger injuring Liver: Jia Wei Gui Pi Tang or Jia Wei Xiao Yao San. All can cause obstipation.
Palpitations, irregular pulse, fright, insomnia, and confusion: Da Sheng Tang (Great Sage Decoction). Blood deficiency with spirit unrest: Yi Rong Tang (Nourish Prosperity Decoction). Empty heart instability: Ding Zhi Wan (Settle Will Pill). Excessive fire: An Shen Wan (Calming Spirit Pill).
Summerheat strike: Xiang Ru Yin (Ardisia Decoction). For severe heat/thirst: Xiang Ru Yin added with Mai Dong, Huang Qin, Hua Fen, Wu Wei Zi, and Shan Zhi.
Food stagnation with chest/flank pain and tight Right Guan pulse: Use digestion-promoting methods. For cold food stagnation with胸闷 and desire to vomit (slow pulse): Ding Xiang San (Clove Powder); add Ginger if vomiting.
Convulsions (Chi Zong) due to Liver Wind and Heart Fire: Gou Teng Tang (Uncaria Decoction).
Huo Luan (Cholera-like syndrome): Upper stomach evil causes heart pain/vomiting; Lower stomach evil causes umbilical pain/diarrhea; Middle stomach evil causes abdominal pain with both. Vomiting damages Qi; Diarrhea damages Blood. Evil striking the fetus endangers mother; Blood/Qi damage endangers fetus. This is an emergency. Treat urgently with Xiang Su San. Add Mu Gua for cramps, Bai Zhu for restless fetus, Huang Qin for summer, Renshen/Bai Zhu for winter.
Enuresis: Bladder heat: Jia Wei Xiao Yao San. Liver/Kidney qi deficiency: Liu Wei Wan (Six Ingredient Pill). Spleen/Lung qi deficiency: Bu Zhong Yi Qi Tang added with Yi Zhi Ren. Liver fire/blood deficiency: Liu Wei Wan combined with Jia Wei Xiao Yao San. Causes vary.
Hematuria: Due to meridian injury and heat invading blood, flowing into the bladder. Jia Wei Xiao Yao San, Liu Wei Wan, or Xu Duan Tang (Dipsacus Decoction) are suitable.
Zang Zao (Organ Agitation): As described by Zhang Zhongjing: sadness, crying, feeling possessed, yawning/stretching. Caused by Lung wind or Kidney water attacking Heart. Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) is suitable.
Fetal crying in womb: Due to a nodule on the umbilical cord entering the fetal mouth when the mother raises arms. Have the mother bend down to pick something up to return the nodule. Medicine: Bu Yi Fang (Supplement Lost Formula). Bell-like sounds in abdomen: Same method.
Fetal Growth Retardation: Often due to old wind-cold causing fetal atrophy, improper care, organ decline, or weak blood/qi failing to nourish. Also due to Chong/Ren deficiency. Tonify qi/blood. Chang Tai Bai Zhu Wan (Grow Fetus Atractylodes Pill) or Ren Shen Wan. Spleen deficiency with afternoon fever: Ba Zhen Tang increased Renshen, Bai Zhu, Fu Ling. Liver/Spleen anger with flank pain/vomiting/chills: Liu Jun Zi Tang added with Chai Hu, Shan Zhi, Zhi Ke, Zi Su, Jie Geng. Investigate causes.
Heart pain: Wind-phlegm binding heart collaterals: Huo Long San. Liver/Spleen qi stagnation with acid regurgitation: Er Chen Tang added with Shan Zha, Shan Zhi, Qing Pi, Mu Xiang.
Abdominal Pain: Differentiate cold/heat/deficiency/excess. Cold (slow pulse): Li Zhong Tang. Heat (rapid pulse): Qin Shao Tang. Deficiency (weak pulse, blood deficiency): Si Jun Zi Tang added with Dang Gui, Bai Shao. Excess (strong pulse): Xiang Qiao Wan. Constipation with excess: Xiang Qiao Wan added with Huang Qin, Bai Shao, Hou Po. Heavy lower abdominal pain (Tai Tong): Di Huang Dang Gui Tang. Heart/Abdominal pain due to cold accumulation or wind-cold striking qi: Dang Gui Shao Yao Tang. Distending pain: Sang Pi Tang added with Ginger. Near term pain: Zhuang Qi Si Wu Tang. Three days before term pain: An Tai Si Wu Yin. Medication is essential.
Lower abdominal pain: Usually due to Collateral deficiency and wind-cold. Zi Su Yin. Generally, Chuan Xiong powder with wine or Dang Gui/Chuan Xiong decoction resolves it. Otherwise, severe pain disturbs the fetus.
Lower back pain: Critical as the fetus is tied to the waist. Severe soreness indicates impending birth. If due to strain: Duan Ju Zhu Gen Tang. Cold attacking abdomen radiating to back: Wu Jia Pi San. Sprain/qi stagnation: Tong Qi San. Kidney deficiency: Qing E Wan. Liver fire: Xiao Chai Hu Tang added with Bai Zhu, Zhi Ke, Shan Zhi. Liver/Spleen depression: Gui Pi Tang added with Chai Hu, Zhi Ke. Bladder wind: Ba Cui Qiang Huo Tang. Blood heat/stasis: Si Wu Tang added with Ru Xiang, Mo Yao, Mu Xiang, Huang Bo, Huo Ma Ren. Regardless of cause, if pain persists and disturbs fetus, stabilize fetus generally with Qian Jin Bao Yun Fang.
Restless Fetus: Due to inherent Chong/Ren deficiency: Chang Fu An Tai San. External causes: Internal heat: An Tai Wan. Fatigue/deficiency: Si Wu Tang with qi-regulating herbs. Alcohol/sex excess: An Tai San. Trauma/falls: Ejiao Ai Wan (Donkey-Hide Gelatin and Mugwort Pill). High falls/compression: Fo Shou San or Gao Cong Zhui Xia Fang. Emotional shock: Gou Teng Tang. Over-nourishment/obesity: Shou Tai San (Slim Fetus Powder). Poison ingestion: Hei Dou Tang (Black Soybean Decoction) or White Hyacinth Bean powder. Maternal illness heating fetus: Shi Sheng San. External/Internal heat: Fu Long San, Hu Tai Fang. Dead fetus signs (blue/black tongue, cold abdomen/nails, foul breath): Ping Wei San added with Po Xiao, taken with wine, or Lu Jiao Jiao (Deer Antler Gelatin) with wine to dissolve fetus.
Summary: Amenorrhea with normal pulses, acid regurgitation, aversion to food, slight chills/fever, and lethargy indicates pregnancy. Pathological pulses indicate otherwise. For confirmed pregnancy with nausea/vomiting, nourish blood, stabilize fetus, regulate qi, strengthen Spleen. Shou Shen He Zhong Tang is suitable. For restless fetus with back/abdominal pain and poor appetite, An Tai Yin is suitable. Instability is primarily due to qi/blood deficiency failing to nourish the fetus. Use Renshen for qi, Dang Gui for blood. For internal heat boiling blood/qi, use Huang Qin to cool. Since the fetus attaches to the Spleen, use Bai Zhu and Zhi Gan Cao to secure the root. Chen Pi, Xiangfu, Su Geng regulate qi; Sharen opens stomach; Du Zhong treats back pain; Bai Shao soothes abdominal pain. Remove Sharen and add Mai Dong for thirst/heat; add Sheng Di and Di Yu for bleeding. These are general prenatal methods.
Ghost Fetus: Due to defensive/wei deficiency and emotional interference, spirits enter organs, mimicking pregnancy. Abdomen feels like holding a jar, with chills/fever, sallow face, anorexia, fatigue. Liver/Spleen are damaged. Tonify Yuan Qi and assist with dispersing herbs like Xiong Huang Wan or Yuan Hua San.
Easy Delivery Methods: Do not induce labor; harmonize blood/qi. From 8-9 months, take Bao Chan Da Sheng San. At 9 months, take Bian Chan Fang one dose, and another dose near delivery. Avoids difficult labor. The Qin family’s monthly prenatal nourishing formula is highly effective.
Pulse Diagnosis: Zhang Zhongjing: Choppy and large pulse at Cun indicates Lei (Reed Knot) pulse, signifying cold/deficiency, leading to miscarriage/bleeding. Treat with Xuan Fu Hua Tang. Wang Shuhe: Uninterrupted Chi pulse confirms pregnancy. Full Taiyin pulse indicates female fetus; Large Taiyang pulse indicates male fetus. Sun Simiao: Floating/large Left Chi indicates male; Deep/fine Right Chi indicates female. Interrupted pulse indicates menstrual irregularity. Chen Ziming: Fine Cun, Slippery Guan, Rapid Chi with sparrow-peck rhythm indicates pregnancy. Rapid Left/Male, Rapid Right/Female. Large bilateral Guan pulses indicate formed fetus. Left longitudinal pulse: two males; Right transverse pulse: two females. Left reverse pulse: three males...